HomeMy WebLinkAbout1030 HOMESTEAD AVE - BuildingELECTRICAL PERMIT
CITY OF PORT ANGELES
360-417-4735
Application Number . . . 16-00000376 Date
Application pin number , C193768
Property Address . . . .. . 1030 HOMESTEAD AVE
ASSESSOR PARCEL NUMBER: Oi 30-14-3-2-0010 0000 -
Application type descriptior E-'CTRICAL ONLY
Subdivision Name . . . . . .
Property Use
Property Zoning UNKNOWN
Application valuation . . . . 0
Owner Contractor
------------------------ -------------- ----- -
SIEMENS JOHN L BLACK DIAMOND ELECTRIC:,',- COI+Tr-
1030 HOMESTEAD ST 502 BLACK DIAMOND RD
PORT ANGELES WA 98362273. PORT ANGELES�.T
..;, 98363
(360) 565-1035
------------------- ---------- ----------------------------
Permit . . . . . . ELECTRICAL ATTER RESIDENTIAL
Additional desc 1-4 CIR+1 BD'
Permit Fee 68.00 Plan Check Fee un
Issue Date . . . . 3/18/16 Valuation . . . .
Expiration Date 9/14/16
Qty Unit Charge Per
BASE FEE
-------------- ---------------- -- -- -- ------------------------
Fee summary Charged Pj.id Credited D
----------------- -- ------- ---- ----- ---------- -------
Permit Fee Total 68.00 68 00 .00 Oi
Plan Check Total .00 .00 .00 vu
Grand Total 68.00 58.00 Go
INSPECTION TYPE
DITCH
SERVICE
ROUGH -IN
FINAL
COMMENTS:
DAT E: RESULTS
PERMIT WILL EXPIRE SIX (6) MONTHS FRONT LAST INSPEC NON
Signature of owner or Electrical Contractor X
REPORT S TA TE SALES TAX
on your excise tax form
to the City of Pott Angeles
(Location Code 0502)
INSPECTOR:
Date:
t
ELECTRICAL PERMIT
CITY OF PORT ANGELES
' -
360-417-47.35
Application Number . . 16-00000376 Date 3/18/16
Application pin number . . . 893768
Property Address . . . . . . 1030 HOMESTEAD AVE
AX
REPORT STATE SSE. T
ASSESSOR PARCEL NUMBER: 06-30-14-3-2-0010-0000-
Application type description ELECTRICAL ONLY
1
on your excise tax form
Subdivision Name . . . . . .
t4 the City Of Port Angeles
Property Use . . . . . . . .
Property Zoning . . . . . . . UNKNOWN
(Location Code 4502)
Application valuation . . . . 0
Owner Contractor
------------------------ ------------------------
SIEMENS JOHN L BLACK DIAMOND ELECTRICAL_ CONTR
1030 HOMESTEAD ST 502 BLACK DIAMOND RD
PORT ANGELES WA 983622731 PORT ANGELES WA 98363
(360) 565-1035
--------------------------_--------------------------------------------------
Permit . . . . . . ELECTRICAL ALTER RESIDENTIAL
Additional desc 1-4 CIR+1 BDE
Permit Fee . . . . 68.00 Plan Check Fee .00
Issue Date . . . . 3/18/16 Valuation . . . . 0
Expiration Date 9/14/16
Qty Unit Charge Per Extension
BASE FEE 68.00
----------------------------------------------------------------------------
Fee summary Charged Pails Credited Due
----------------------------------------
-----------------
Permit Fee Total 68.00 68.00- .00 .00
Plan Check Total .00 .00 .00 .00
Grand Total 68.00 68.00 .00 .00
INSPECTION TYPE DATE: RESULTS:
INSPECTOR:
DITCH
f
SERVICE
I
ROUGH -IN
FINAL
COMMENTS-
PERMIT WILL. EXPIRE SIX (6) MONTHS FROM LAST INSPECTION
Signature of owner or. Electrical Contractor X
Date:
CITY OF PORT ANGELES PERMIT APPLICATION
Building Division/Electrical Inspections
321 East Fifth Street - P.O. Box 1150 / Port Angeles Washington, 98362
Ph: (360) 417-4735 Fax: (360) 417-4711
Date: 3-157- r
4 1 & 2 Single Family Dwelling
* Plan Review May Be Required, Please Complete Electrical Plan Review Information Sheet
Job Address: /03o 44a n esr£" AVC
Building Square Footage:
Description of above R E17t2 RJR -11) 4 A .1P
Owner Information
Name:— Ste
Mailing Address: 1016 41+1-6 syc" "'L
City: ;W State: Zip:
Phone: Fax:
License # / Exp.
Item
Service/Feeder 200 Amp.
Service/Feeder 201-400 Amp.
Service/Feeder 401-600 Amp
Service/Feeder 601-1000 Amp.
Service/Feeder over 1000 Amp.
Branch Circuit WI Service Feeder
Branch Circuit W/O Service Feeder
Each Additional Branch Circuit
Branch Circuits 1-4
Temp. Service/ Feeder 200 Amp.
Temp. Service/Feeder 201400 Amp.
Temp. Service/Feeder 401-600 Amp.
Temp. Service/Feeder 601-1000 Amp.
Portal to Portal Hourly
Signal Circuit/ Limited Energy - 1 & 2 Family Dwelling
Manufactured Home Connection
Renewable Electrical Energy - 5KVA System or Less
Thermostat
Note: $5.00 for each additional T-Stat
NEW CONSTRUCTION ONLY:
First 1300 Square Ft.
Each Additional 500 Square Ft. or Portion of
Each Outbuilding or Detached Garage
Each Swimming Pool or Hot Tub
6�
0�.. Poer+t,,7flrr
Owner as defined by RCW.19.28.261: (1) Owner will occupy the structure for two years after this electrical permit is finalized. (2) Owner is required
to hire an electrical contractor if above said property is for sale, rent or lease. Permit expires after six months of last inspection.
After reading the above statement, I hereby certify that I am the owner of the above named property or a licensed electrical contractor, I am making
the electrical installation or alterat'X in compliance with the electrical laws, N.E.C., RCW. Chapter 19.28, WAC. Chapter 296-46B, The City of Port
Angeles Municipal Code, U ' Specifications and PAMC 14.05.050 regarding Electrical Permit Applications.
Signature of ow , el c ontractor or electrical administrator: ❑ cash f'�' Af Check
I/� F-1Credit/Card#�
X Dated// r/ `i 0110112012
`� LLbea-V` f oo, -T-A K -c -s- I -o hiG ! -n,,k- ?"0 6.E1- ?fl 'r14C 7>.1EVL-
Contractor Information
Name: 'K Dk-
Mailing Address:
City:
State: Zip:
Phone:
Fax:
License # / Exp. LA0;;k4VVn—
Unit Charqe
QtV
Total (Qtv Multiolied by Unit Charae)
$120.00
$
$146.00
$
$ 205.00
$
$ 262.00
$
$ 373.00
$
$ 5.00
$
$ 63.00
$
$ 5.00
$
$ 75.00
$
$ 93.00
$
$110.00
$
$149.00
$
$168.00
$
$ 96.00
$
$ 64.00
$
$120.00
$
$102.00
$
$ 56.00
$
$120.00
$
$ 40.00
$
$ 74.00
$
$110.00
$ /
$� Total
Owner as defined by RCW.19.28.261: (1) Owner will occupy the structure for two years after this electrical permit is finalized. (2) Owner is required
to hire an electrical contractor if above said property is for sale, rent or lease. Permit expires after six months of last inspection.
After reading the above statement, I hereby certify that I am the owner of the above named property or a licensed electrical contractor, I am making
the electrical installation or alterat'X in compliance with the electrical laws, N.E.C., RCW. Chapter 19.28, WAC. Chapter 296-46B, The City of Port
Angeles Municipal Code, U ' Specifications and PAMC 14.05.050 regarding Electrical Permit Applications.
Signature of ow , el c ontractor or electrical administrator: ❑ cash f'�' Af Check
I/� F-1Credit/Card#�
X Dated// r/ `i 0110112012
`� LLbea-V` f oo, -T-A K -c -s- I -o hiG ! -n,,k- ?"0 6.E1- ?fl 'r14C 7>.1EVL-